1. The Newborn
Chapter 6

2. Terms to Know Neonate Intensive care nursery (ICN)
Neonatal intensive care units (NICU)
Brazelton scale
Pediatrician

3. Jaundice
Sudden infant death syndrome (SIDS)
Reflexes
Rooting reflex
Well-baby checkup
Colic

4. Medical Care & Testing Premature Babies
Placed in intensive care nursery
Stay in neonatal intensive care units (NICUs)-heated, enclosed beds
Neonatology-refers to the care, development, & diseases of newborns

5. Brazelton scale Also called the Neonatal Behavioral Assessment Scale
Helps spot problems as early as possible

6. Test in 4 areas Interaction with environment-alertness & cuddliness
Motor processes-activity level & reflexes
Control of physical state; self-quieting behaviors
Response to stress

7. Pediatricians
Doctor of infants & children who runs other tests

8. oxygen-carrying substances
Anemia
Low level of
oxygen-carrying substances

9. PKU a disease that can cause mental retardation

10. Jaundice
skin looks yellow-liver is immature

11. Well-baby checkup
scheduled within first few weeks

12. Size
7 lbs., 20 inches long
May lose weight right after birth

13. Body Proportion Look out of proportion compared to adults
Head is very large; ¼ total length
Chest is rounded
Stomach protrudes
Legs very short, drawn up & bowed
Almost no neck

14. Face
Broad, flat nose
Tiny chin

15. Cranium
Fontanels (soft spots) where skull is not closed; allows brain to grow
Closes between 1-2 years
Head may appear egg shaped from birth process-disappears within weeks

16. Skin
Thin & dry
Blotchy
May develop rash which disappears in a week

17. Eyes
Appear HUGE
Color often blue-gray; eye color develops around 6 months
No tears until 3 months

18. Reflexes
Automatic responses; some needed for survival

19. Meeting Physical Needs
Feeding
Nutritional needs are very important, because a newborn is growing so quickly
Breast-feeding is the preferred method
12 months is recommended

20. Advantages Passes mother’s immunities to baby Baby isn’t overfed
Saves time & money
Reduces allergies, ear infections & possibly SIDS and diabetes

21. Some mother’s need to or choose to formula-feed
Always use commercially-prepared formula; no cow’s milk until 1 year
Always hold & cuddle when feeding; NEVER prop the bottle
Throw away unfinished formula
Baby needs to be burped after feeding

22. Clothing & Dressing
Clothing needs to be comfortable, easy to put on & take off, easy to launder and suitable for the weather and safe
It should be flame-retardant & have secure fasteners & trims
Infants outgrow their clothing quickly, so they don’t need too much

23. Diapering Both cloth & disposable have advantages & disadvantages
Consider cost & convenience

24. Bathing Give sponge baths until the navel heels (about 3 weeks)
Wash baby’s face first, or “clean to dirty”
NEVER leave the baby alone- EVEN FOR A SECOND

25. Sleeping Baby’s average 17 hours a day
Do NOT put pillows or stuffed toys in the crib until at least 1 year old
Always place them on their BACK until 1 year old to reduce the risk of SIDS

26. Exercising
It is important for muscle development, coordination & relaxation
A good opportunity for “bonding” with baby

27. Scheduling Feeding on demand is recommended
Meeting their needs helps them develop trust
You can’t spoil them in their first 6 months

28. Meeting Intellectual Needs
Parents are a child’s first teachers
Research shows us that baby’s learn through their SENSES (eyes, ears, mouth, fingers)
They learn by imitation or copying others

29. Helping Babies Learn Watch for their quiet, alert state
They will fuss or turn away if over stimulated or bored
Cuddle, talk to, sing to, give them things to look at (mobiles), and things to grasp

30. Meeting Social-Emotional Needs
All are individuals & differ in their alertness & fussiness
Colic is a condition with intense abdominal pain

31. Meeting Parent’s Needs
Need for rest
Need to organize
Need to be with other adults